PRANAVKUMAR DINESHKUMAR PATEL
NPI 1073018529
Hospitalist in Houston, TX

Active since March 27, 2018PECOS Enrolled
11800 ASTORIA BLVD, HOUSTON, TX 77089(281) 929-6184 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 19, 2024, Jun 10, 2021, Mar 27, 2018 (3 updates tracked since 2018).

About Pranavkumar Dineshkumar Patel NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRANAVKUMAR DINESHKUMAR PATEL (NPI 1073018529) is an individual hospitalist provider in Houston, Texas, licensed in Texas (T1510) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Pooler.

NPPES Registry Identity

NPI1073018529
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NamePRANAVKUMAR DINESHKUMAR PATEL
Location Address11800 ASTORIA BLVDHouston, TX 77089-6041
Mailing Address909 Frostwood Dr Ste 1.100Houston, TX 77024-2301 · (713) 338-5519
Sole ProprietorNo
Enumeration DateMarch 27, 2018
Last NPPES UpdateSeptember 19, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
NPI 1073018529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in TX · T1510
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License T1510 (TX)
11800 ASTORIA BLVD, Houston, TX 77089

Secondary Practice Location 1

Location 1149 Pine View XingPooler, GA 31322-9708

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Pranavkumar Dineshkumar Patel is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
303 services97 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
69 services69 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
48 services17 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
24 services24 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77089 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier28 claims28 services$58.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
11800 ASTORIA BLVD
HOUSTON, TX 77089
Hospitalist
11800 ASTORIA BLVD
HOUSTON, TX 77089
Emergency Medicine
11800 ASTORIA BLVD
HOUSTON, TX 77089
Emergency Medicine
11800 ASTORIA BLVD
HOUSTON, TX 77089
Hospitalist
11800 ASTORIA BLVD
HOUSTON, TX 77089
Hospitalist
11800 ASTORIA BLVD
HOUSTON, TX 77089
Emergency Medicine
11800 ASTORIA BLVD
HOUSTON, TX 77089
Emergency Medicine
11800 ASTORIA BLVD
HOUSTON, TX 77089

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pranavkumar Patel's NPI number?

The NPI number for Pranavkumar Patel is 1073018529. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Where is Pranavkumar Patel located?

Pranavkumar Patel practices at 11800 Astoria Blvd, Houston, TX 77089. The listed phone number is (281) 929-6184.

What is Pranavkumar Patel's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Pranavkumar Patel enrolled in Medicare?

Yes. Pranavkumar Patel is registered in the Medicare PECOS enrollment system.

What insurance does Pranavkumar Patel accept?

Health plans from Community Health Choice and Oscar Insurance Company list Pranavkumar Patel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pranavkumar Patel was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.